Senior Care Records.

Facility Evaluation Report

Success RCF 1, San Jose09/09/2021Licence 435202567

Capacity32
Census30
Date signed09/09/2021 04:08:20 PM
The inspector’s account

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Required - 1 Year visit and met with Prince-Stanley Amas.

During visit, LPA Marrufo toured the inside and outside of the facility. LPA observed a visitor screening area at the facility entrance. LPA toured the resident hallways and bathrooms. LPA observed COVID-19 related signs in the hallway and bathrooms.

LPA Marrufo toured the kitchen and food storage area and found there to be a 7 day supply of perishable foods and a 3 day supply of non-perishable foods.

No deficiencies were cited at this time as per California Code of Regulations Title 22.

This report was reviewed with Prince-Stanley Amas and a copy of the report was provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction